As a local tour operator who has been guiding travelers through the mighty Himalayas for years, I can confidently say this:
“Ladakh is not just a destination, it’s a different world – and to experience it safely, altitude preparation is everything.”
This blog is my personal advice – based not only on my own journeys but also on countless stories, learnings, and real-life situations we’ve handled while running Epoch Paratrips.
Understanding Ladakh’s Altitude
Ladakh lies between 10,000 ft to 18,000+ ft above sea level. At such elevations, the air is thin – oxygen levels are 40-60% lower than what your body is used to.
Symptoms of Acute Mountain Sickness (AMS) include headache, nausea, dizziness, breathlessness, and insomnia.
Day 1 in Leh: The Golden Rule – DO NOTHING
When you land at 11,500 ft, your body needs to rest. Complete rest on Day 1 is essential:
- Stay in the hotel
- Hydrate well
- Eat light
- Avoid physical activity, alcohol, and smoking
Essential Packing & Medication
We advise all our guests to carry:
- Diamox (with doctor’s consultation)
- ORS, glucose powder
- Oxygen canister
- Thermal layers, fleece, sunglasses, sunscreen
- Water bottle, snacks
Night-Time Symptoms: Don’t Panic
Altitude insomnia may occur. Use extra pillows, sip warm water, and breathe deeply. Avoid over-layering at night.
Safe Itinerary Planning
Ideal acclimatization plan:
- Day 1: Rest in Leh
- Day 2: Light local sightseeing
- Day 3: Drive to Nubra
- Day 5: Pangong
- Day 7: Hanle or Tso Moriri
Ensure cabs are equipped with oxygen. Never plan back-to-back high altitude days.
Warning Signs of AMS
Seek help if you notice:
- Persistent headache
- Vomiting
- Difficulty breathing
- Confusion
- Blue lips/fingers
- Chest tightness
Top Travel Tips Summary
- Rest on Day 1
- Hydrate well
- Eat light, warm meals
- Dress in layers
- Carry oxygen if visiting above 14,000 ft
- Don’t ignore symptoms
- Trust your guide
Final Words
Ladakh rewards those who respect it. Prepare smartly, travel slowly, and you’ll enjoy a safe, soulful journey.
Whether you travel solo or with Epoch Paratrips, our goal is to ensure you not only survive Ladakh – but fall in love with it.
Juley from the land of high passes!

